在患有手臂振动综合征的工人中探索寒冷敏感性
S Bezanson1, A Ruco1,2,3,4, M Howse1
1Interdisciplinary Health Program, St. Francis Xavier University, Antigonish, Nova Scotia, B2G 2W5, Canada.
Occupational medicine (Oxford, England)
|December 31, 2025
概括
患有手臂振动综合征 (HAVS) 的工人经历手和脚的寒冷不耐受. 手部的症状较为严重,但脚部的症状很常见,与手部的症状有关,影响日常功能.
科学领域:
- 职业健康 职业健康 职业健康
- 血管医学 血管医学
- 神经学 神经学
背景情况:
- 手臂振动综合征 (HAVS) 主要影响上肢,对下肢功能障碍的研究有限.
- 在HAVS中血管效应是已知的功能缺陷的原因.
- 感冒不耐受和敏感性是HAVS的关键症状.
研究的目的:
- 调查患有HAVS.的工人的双手和双脚冷不耐症的流行和严重程度.
- 为了确定与HAVS患者上肢和下肢寒冷不耐受相关的因素.
主要方法:
- 采用了综合调查和回顾性图表审查方法.
- 感冒不耐受症症状严重程度 (CISS) 调查问卷适用于上肢和下肢.
- 统计分析包括斯皮尔曼相关性,威尔科克森签名等级测试和回归模型.
主要成果:
- 据报道,HAVS工作人员的脚部经常有感冒不耐受和敏感性,与手部症状相关.
- 与脚相比,手部的症状严重性得分 (CISS) 通常更高.
- 手部CISS得分的预测因素包括QuickDASH和斯德哥尔摩血管尺度;脚部CISS得分是由脚部振动暴露,脚部囊造影严重程度和QuickDASH得分预测的.
结论:
- 在患有HAVS的工人中,寒冷不耐受和敏感性表现在手和脚上.
- 综合评估和治疗两端寒冷不耐症对于改善功能结果至关重要.
- 临床医生应考虑评估和管理HAVS患者上肢和下肢症状.
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